A list of the most recent deficiencies for Goffstown Nursing and Rehab Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Address subsistence needs for staff and patients. | Fire Safety | 2023-10-25 | 2023-12-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-10-25 | 2023-12-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-25 | 2023-12-13 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2023-10-25 | 2023-12-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-25 | 2023-12-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-10-25 | 2023-12-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-25 | 2023-12-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-10-25 | 2023-12-13 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-10-26 | 2023-12-12 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-10-26 | 2023-12-12 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-10-26 | 2023-12-12 | N |
| Dispose of garbage and refuse properly. | Health | 2023-10-26 | 2023-12-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-10-26 | 2023-12-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-10-26 | 2023-12-12 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-10-26 | 2023-12-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-26 | 2023-12-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-26 | 2023-12-08 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-10-26 | 2023-12-08 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-10-26 | 2023-12-04 | N |
| Post nurse staffing information every day. | Health | 2023-10-26 | 2023-11-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-26 | 2023-11-27 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-06-06 | 2023-08-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-06-06 | 2023-08-16 | Y |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2023-06-06 | 2023-08-16 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2023-06-06 | 2023-08-16 | Y |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2023-06-06 | 2023-08-16 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-06-06 | 2023-07-27 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-06-06 | 2023-07-27 | Y |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-10-19 | 2023-01-03 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-10-18 | 2022-11-23 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-10-18 | 2022-11-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-10-18 | 2022-11-14 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-10-18 | 2022-11-14 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-10-18 | 2022-11-14 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-18 | 2022-10-25 | N |
| Respond appropriately to all alleged violations. | Health | 2022-10-18 | 2022-10-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-18 | 2022-10-25 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-26 | 2022-09-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-08-26 | 2022-09-13 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-08-05 | 2021-09-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-08-05 | 2021-09-28 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-08-05 | 2021-09-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-08-05 | 2021-09-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-08-05 | 2021-09-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-08-05 | 2021-09-28 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-08-04 | 2021-08-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-04 | 2021-08-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-03-12 | 2021-03-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-12 | 2021-03-31 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-03-12 | 2021-03-31 | Y |
| Keep all essential equipment working safely. | Health | 2021-03-12 | 2021-03-31 | Y |
